Dermal Fillers

People often clump neuromodulators such as BOTOX® in with dermal fillers such as Juvéderm®. Actually, the two classes of injectables couldn’t be more different in how they work and even the wrinkles they work upon. At Dr. Chalekson’s we offer these fillers for our patients: Juvéderm®, Restylane®, Radiesse®, and Sculptra®. If you are interested in learning more about the injectable treatments we offer including dermal fillers in San Luis Obispo County, contact our office today.


Dermal fillers are true to their name — when injected beneath a crease or area of volume loss they simply fill in the depression and push the skin back upward. Dermal fillers work on what are known as “static” wrinkles. These are wrinkles caused by sun damage, declining collagen production, personal habits such as smoking, and other environmental factors. Static wrinkles can be seen all the time.

Dermal filler treatments in San Luis Obispo County are usually classified as either “natural” or “synthetic.” Natural fillers, such as all of the Restylane® and Juvéderm® lines, are made primarily with hyaluronic acid. Hyaluronic acid is a naturally occurring substance in the human body that is responsible for hydrating, plumping, and firming the skin. It does this by binding with nearby water molecules.

Synthetic fillers have man-made elements, such as calcium microspheres (Radiesse®), or poly-L-lactic acid (Sculptra®) that provide structural support and often trigger the body to produce new amounts of collagen. This delivers results from two different actions.




Dermal fillers such as Juvéderm® and neuromodulators such as BOTOX® work in entirely different ways. As their name implies, when injected beneath a wrinkle, crease, or area of volume loss dermal fillers simply add instant volume for ourTempleton patients. They “fill” in the space and push the skin back upward. This only works when the wrinkle is known as a “static” wrinkle. These are wrinkles caused by sun damage, declining collagen production, personal habits, and other factors. Static wrinkles always show themselves.

BOTOX® and the other neuromodulators work in a completely different fashion. They are made from the botulinum toxin type A, the same bacteria that cause botulism. When the botulinum toxin is injected into a muscle, it stops the muscle from contracting for a period. Certain wrinkles on the upper third of the face form above muscle contractions under the surface skin. These are known as “dynamic” wrinkles. These are crow’s feet at the outside of the eyes, glabellar/frown lines between the brows, and forehead lines. When BOTOX® is injected into the muscles that create these wrinkles when they contract, the botulinum toxin stops the muscle contraction. The muscle stays at rest and the wrinkle that forms on the surface skin is erased for a period of around four months.

Bottom line — neuromodulators only work on dynamic wrinkles on the upper third of the face, and dermal fillers only work on static wrinkles and areas of volume loss on the mid to lower areas of the face.


No. Dermal fillers will eventually be absorbed by the body and its effects will go away. Of the dermal fillers Dr. Chalekson offers in San Luis Obispo County, the Restylane® and Juvéderm® lines are all hyaluronic acid-based fillers. Hyaluronic acid is a naturally occurring substance in the human body that is responsible for hydrating, plumping, and firming the skin. When Dr. Chalekson injects these various fillers into an area to erase a line or crease or to fill in volume, the hyaluronic acid instantly binds with water molecules and immediately adds volume. This fills the area or pushes the skin back upward, erasing the line or crease.

These results are not permanent. The rule is that the location of the injections directly impacts the duration of your results. For instance, an area that involves lots of movement, such as around the mouth, will break down the filler faster than an area such as the cheeks that does not move much. For that reason, dermal fillers provide results from 6 months up to 18 months.

Radiesse® and Sculptra® are the non-hyaluronic acid dermal fillers we offer. They provide results from 15 months to two years.


As mentioned above, the typical after-effects with these products are slight redness and swelling at your injection sites. This passes in just a few hours. Occasionally, lumps can form, but hyaluronic acid fillers have an interesting characteristic that can address that occasional problem. If a lump develops, or if you do not like the look of the area where Restylane® or Juvéderm® was injected, the hyaluronic acid can be instantly neutralized by the injection of an enzyme called hyaluronidase. This enzyme instantly breaks down the hyaluronic acid in these fillers.


As mentioned above, dermal fillers in San Luis Obispo County only work on static wrinkles and lines, along with areas that have lost volume, on the mid to lower face. Fillers are not used on the upper third of the face, where BOTOX® and our other neuromodulators (Dysport® and Jeuveau®) erase crow’s feet, frown lines, and forehead lines.

These are the issues we treat with our dermal fillers:

  •     Nasolabial folds (smile lines) — Running from the nose down to the corners of the mouth
  •     Marionette lines — Running from the corners of the mouth downward
  •     Barcode lines — Vertical lines above the upper lip
  •     Parentheses lines — Framing the sides of the mouth, like parentheses
  •     Sunken cheeks — Flattened and sunken cheeks
  •     Lip augmentation — Adding volume and definition to the lips
  •     Under-eye hollows — Tear troughs and areas under the eyes


There is not any recovery or downtime for San Luis Obispo County patients who receive dermal filler treatments. You may have some slight redness and swelling for a few hours at the injection sites, but that is about it. You can return to work or your normal activities immediately.


We provide an array of fillers in San Luis Obispo County:

  • Juvederm
  • RHA
  • Restylane
  • Versa
  • Radiesse
  • Sculptra

Your consultation will include a discussion of these fillers and what type(s) may be right for your goals. Some patients use more than one type of filler for a comprehensive result.
Dermal fillers remain one of the top non-surgical options today because people love the benefits:

  • No incisions, no sutures
  • No downtime or recovery
  • Beautiful results
  • Versatile
  • Temporary and reversible (low commitment)
  • Low upfront cost relative to surgery

Of course, the only way to know if they will be beneficial for you is to talk to Dr. Chalekson. With many years of experience, he can determine if you are a good candidate for fillers.


These injections are truly versatile. They can smooth and soften these wrinkles:

  • Vertical glabellar “frown lines” between the eyebrows
  • Marionette lines extending from the corners of your mouth downward
  • Nasolabial lines extending from the corners of the nose downward
  • Forehead lines
  • “Smoker’s lines” above the upper lip

Dermal fillers in San Luis Obispo County do not stop at wrinkle treatment. They may also be used for:

  • Hollow, sunken cheeks
  • Aging hands that have lost volume
  • Definition of the jawline, cheeks, forehead and other areas of the face
  • Tear troughs
  • Lips lacking volume and shape
  • Bags and dark circles under the eyes

Dermal fillers work by restoring volume beneath the skin.


The dermal filler process involves coming to a consultation at our office and then either receiving the injections that same day or scheduling an appointment to come back for the injections. That is it! It is painless, simple, straightforward, and convenient. Many people fit these appointments in on a lunch break or a spare hour or two in the afternoon.


Dermal fillers have a long-standing safety record. They are generally safe and low risk, although side effects and adverse reactions are always a possibility. We will make sure you have a complete understanding of the risks possible and what we can do to reduce those risks. Some of the potential side effects include:

  • Infection
  • Swelling
  • Bruising
  • Allergic reaction
  • Skin irritation
  • Scarring
  • Asymmetry

Choosing an experienced, trained injector is an important part of mitigating risks and securing good results. Dr. Chalekson and our team are fully qualified to perform these injections and have been doing so for years. We hope you will browse our before and after gallery to get an idea of what results are possible.

Consider Scheduling an Appointment in San Luis Obispo County For Dermal Fillers

If you are interested in restoring or creating youthful volume in your facial features, consider contacting our state-of-the-art plastic surgery center to schedule a consultation for dermal fillers in San Luis Obispo County. Our team of skilled aesthetic professionals is looking forward to hearing from you.


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